Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN

Buletin Penelitian Kesehatan

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Title Determinan Pengeluaran Kesehatan Katastropik Rumah Tangga Indonesia Pada Tahun Pertama Implementasi Program JKN
 
Creator Nugraheni, Wahyu Pudji; Pusat 4 Badan Litbangkes
Hartono, Risky Kusuma; STIKIM Jakarta Jalan Lenteng Agung, Depok
 
Subject Kata Kunci: JKN, Katastropik, Data IFLS, IV Probit
 
Description AbstractHealth spending can lead to decrease the ability of the household financial. Nearly 2.3 million people (1%) each year fall to be poor as a impact of catastrophic health spending of high-cost diseases that are life-threatening complications. The aim of the research is to analyze the determinants of catastrophic health spending of Indonesian households in the first year of implementation of the National Health Insurance program (JKN). This study design is cross sectional using secondary data is data Indonesia Family Life Survey (IFLS) 2014. The methods of analysis used are econometric approach with logit model and instrumental variables probit model. The results of the study significantly shows that households with catastrophic health spending incidence is around 5.38% in the first year of implementing JKN Program. While the determinants that influence catastrophic health spending include level of education, place of residence in the city, health status and economic status. This study recommends to the government to improve and develop the health program that promotes healthy lifestyles and expand the coverage of JKN program to protect the Indonesian households from catastrophic helath spending.Kata Kunci: JKN, Pengeluaran Katastropik, Data IFLS, IV Probit AbstrakPengeluaran kesehatan dapat memicu ancaman penurunan kemampuan keuangan rumah tangga. Hampir 2.3 juta individu (1%) tiap tahunnya jatuh ke dalam kemiskinan sebagai dampak dari biaya kesehatan katastropik. Tujuan penelitian untuk menganalisis biaya kesehatan katastropik rumah tangga Indonesia setelah implementasi program JKN. Desain penelitian ini adalah cross sectional dengan menggunakan data sekunder yaitu data Indonesia Family Life Survey (IFLS) tahun 2014. Metode analisis menggunakan pendekatan ekonometri analisis model logit dan model regresi instrumental variable probit. Hasil penelitian secara signifikan menunjukkan bahwa di era program JKN, rumah tangga yang mengalami kejadian belanja kesehatan katastropik sebesar 5,38% . Sementara determinan yang mempengaruhi belanja kesehatan katastropik mencakup tingkat pendidikan, tempat tinggal di kota, status kesehatan dan status ekonomi. Penelitian ini menyarankan kepada pemerintah untuk membangun dan meningkatkan program kesehatan yang mengacu pada pola hidup sehat dan memperluas cakupan kepesertaan JKN untuk melindungi rumah tangga dari pengeluaran katastropik.Keywords : JKN, Cathastrophic Spending, IV Probit, IFLS Data
 
Publisher Badan Penelitian dan Pengembangan Kesehatan
 
Contributor
 
Date 2017-03-31
 
Type
 
Format application/pdf
 
Identifier http://ejournal.litbang.kemkes.go.id/index.php/BPK/article/view/6069
10.22435/bpk.v45i1.6069.27-36
 
Source Buletin Penelitian Kesehatan; Vol 45, No 1 (2017); 27-36
 
Language en
 
Relation http://ejournal.litbang.kemkes.go.id/index.php/BPK/article/downloadSuppFile/6069/12528
http://ejournal.litbang.kemkes.go.id/index.php/BPK/article/downloadSuppFile/6069/12529
 
Rights The Authors submitting a manuscript do so on the understanding that if accepted for publication, copyright of the article shall be assigned to Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development) as publisher of the journal.Copyright encompasses exclusive rights to reproduce and deliver the article in all form and media, including reprints, photographs, microfilms and any other similar reproductions, as well as translations. The reproduction of any part of this journal, its storage in databases and its transmission by any form or media, such as electronic, electrostatic and mechanical copies, photocopies, recordings, magnetic media, etc. , will be allowed only with a written permission from Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development).Buletin Penelitian Kesehatan (Bulletin of Health Research) and Badan Penelitian dan Pengembangan Kesehatan (National Institute of Health Research and Development), the Editors and the Advisory International Editorial Board make every effort to ensure that no wrong or misleading data, opinions or statements be published in the journal.
 

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